Common use of ELECTION TO PURCHASE FORM Clause in Contracts

ELECTION TO PURCHASE FORM. If you, the Holder, want to exercise the Class A Warrants represented by this Certificate, fill in the form below. I or we, the registered owner of the Class A Warrants represented by this Certificate irrevocably exercise ________________________________ Class A Warrants for the purchase of _________________________________ shares or other securities or property of Common Stock of Vishay Intertechnology, Inc., at the price and on the terms and conditions specified in the Class A Warrants and request that certificates for the shares of Common Stock hereby purchased (and any securities or other property issuable or transferable upon such exercise) be issued in the name of and delivered to: ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ (Print or type name, address and zip code and social security or tax ID number of owner) and, if such Class A Warrants shall not constitute all of the Class A Warrants represented by this Certificate, that a new Class A Warrant Certificate of like tenor and date for the balance of the Class A Warrants represented hereby be delivered to the undersigned. Number of Class A Warrants represented by this Certificate ________ Number of Class A Warrants being exercised ________ Balance ________ Date:____________________________ Signed:________________________________ (Signed exactly as your name appears on this Warrant)

Appears in 1 contract

Samples: Warrant Agreement (Vishay Intertechnology Inc)

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ELECTION TO PURCHASE FORM. If you, the Holder, want to exercise the Class A B Warrants represented by this Certificate, fill in the form below. I or we, the registered owner of the Class A B Warrants represented by this Certificate irrevocably exercise ________________________________ Class A B Warrants for the purchase of _________________________________ shares or other securities or property of Common Stock of Vishay Intertechnology, Inc., at the price and on the terms and conditions specified in the Class A B Warrants and request that certificates for the shares of Common Stock hereby purchased (and any securities or other property issuable or transferable upon such exercise) be issued in the name of and delivered to: ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ (Print or type name, address and zip code and social security or tax ID number of owner) and, if such Class A B Warrants shall not constitute all of the Class A B Warrants represented by this Certificate, that a new Class A B Warrant Certificate of like tenor and date for the balance of the Class A Warrants Warrantes represented hereby be delivered to the undersigned. Number of Class A B Warrants represented by this Certificate ________ Number of Class A B Warrants being exercised ________ Balance ________ Date:_____________________________ Signed:__________________________________ (Signed exactly as your name appears on this Warrant)

Appears in 1 contract

Samples: Warrant Agreement (Vishay Intertechnology Inc)

ELECTION TO PURCHASE FORM. If you(To be Executed by the Registered Holder in Order to Exercise Warrants Represented by the Warrant Certificate on the reverse hereof) To: MAGNUM HUNTER RESOURCES, the Holder, want INC. The undersigned Registered Holder hereby irrevocably elects to exercise the Class A Warrants represented by this Certificate, fill in the form below. I or we, the registered owner of the Class A Warrants represented by this Certificate irrevocably exercise ________________________________ Class A Warrants for Warrants, represented by the purchase of _________________________________ shares or other securities or property of Common Stock of Vishay Intertechnology, Inc., at the price and Warrant Certificate on the terms reverse hereof, and conditions specified in to purchase the Class A Warrants securities issuable upon exercise of such Warrants, and request requests that certificates for the shares of Common Stock hereby purchased (and any such securities or other property issuable or transferable upon such exercise) be issued in the name of and delivered toof: ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ --------------------------------------------------------------- (Print Please print or type name, address your Name and zip code and social security Address) --------------------------------------------------------------- (Please print or tax ID number of ownertype your Social Security or Federal Tax Identification Number) and, if such Class A number of Warrants shall not constitute be all of the Class A Warrants represented by this Certificatethe Warrant Certificate on the reverse hereof, that a new Class A Warrant Certificate of like tenor and date for the balance of such Warrants be registered in the Class A Warrants represented hereby be name of, and delivered to the undersignedRegistered Holder at the address stated below. Number The Registered Holder understands and agrees that the Company may require Registered Holders to establish their exemptions from backup withholding or to arrange for payment of Class A backup withholding. Dated: --------------------------------- Name of holder of the Warrant Certificate: ------------------------------------- (Please Print or Type) Address: ----------------------------------------------------------------------- Signature: --------------------------------------------------------------------- NOTICE: The above signature must correspond with the name as written upon the face of the Warrant Certificate on the reverse hereof in every particular, without alteration or enlargement or any change whatsoever, or if signed by any other person the Form of Assignment hereon must be duly executed and if any Warrant Certificate representing Warrants represented by this not exercised is to be registered in a name other than that in which the Warrant Certificate ________ Number on the reverse hereof is registered, the signature of Class A Warrants being exercised ________ Balance ________ Date:____________________________ Signed:________________________________ (Signed exactly as your name appears on this Warrant)the holder hereto must be "medallion" guaranteed.

Appears in 1 contract

Samples: Warrants Agreement (Magnum Hunter Resources Inc)

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ELECTION TO PURCHASE FORM. If you(To be Executed by the Registered Holder in Order to Exercise Warrants Represented by the Warrant Certificate on the reverse hereof) To: MAGNUM HUNTER RESOURCES, the Holder, want INC. The undersigned Registered Holder hereby irrevocably elects to exercise the Class A Warrants represented by this Certificate, fill in the form below. I or we, the registered owner of the Class A Warrants represented by this Certificate irrevocably exercise ________________________________ Class A Warrants for Warrants, represented by the purchase of _________________________________ shares or other securities or property of Common Stock of Vishay Intertechnology, Inc., at the price and Warrant Certificate on the terms reverse hereof, and conditions specified in to purchase the Class A Warrants securities issuable upon exercise of such Warrants, and request requests that certificates for the shares of Common Stock hereby purchased (and any such securities or other property issuable or transferable upon such exercise) be issued in the name of and delivered toof: ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ --------------------------------------------------------------- (Print Please print or type name, address your Name and zip code and social security Address) --------------------------------------------------------------- (Please print or tax ID number of ownertype your Social Security or Federal Tax Identification Number) and, if such Class A number of Warrants shall not constitute be all of the Class A Warrants represented by this Certificatethe Warrant Certificate on the reverse hereof, that a new Class A Warrant Certificate of like tenor and date for the balance of such Warrants be registered in the Class A Warrants represented hereby be name of, and delivered to the undersignedRegistered Holder at the address stated below. Number The Registered Holder understands and agrees that the Company may require Registered Holders to establish their exemptions from backup withholding or to arrange for payment of Class A backup withholding. Dated: --------------------------------- Name of holder of the Warrant Certificate: ------------------------------------- (Please Print or Type) Address: ----------------------------------------------------------------------- Signature: --------------------------------------------------------------------- NOTICE: The above signature must correspond with the name as written upon the face of the Warrant Certificate on the reverse hereof in every particular, without alternation or enlargement or any change whatsoever, or if signed by any other person the Form of Assignment hereon must be duly executed and if any Warrant Certificate representing Warrants represented by this not exercised is to be registered in a name other than that in which the Warrant Certificate ________ Number on the reverse hereof is registered, the signature of Class A Warrants being exercised ________ Balance ________ Date:____________________________ Signed:________________________________ (Signed exactly as your name appears on this Warrant)the holder hereto must be "medallion" guaranteed.

Appears in 1 contract

Samples: Warrants Agreement (Magnum Hunter Resources Inc)

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